Common symptoms
- Neck pain and stiffness, often worse after desk work or driving
- Pain spreading to the shoulder blades or upper back
- Headaches starting at the back of the head
- Pain, tingling or numbness travelling down the arm (cervical radiculopathy)
What is cervical spondylosis?
Cervical spondylosis is the term for age-related changes in the discs and joints of the neck. It shows up on X-rays of most people over 50, many of whom have no pain at all. So a diagnosis of spondylosis does not mean your neck is damaged or that it cannot improve: most people with it respond well to exercise-based physiotherapy.
Desk work and “laptop neck”
Long periods looking down at a laptop or phone load the neck and upper back. Posture is not about sitting perfectly upright; the bigger problem is staying in any one position for too long. Changing position often, setting up your screen at eye level and keeping the neck and upper back strong all help.
How we treat it
- Assessment of the neck, upper back, shoulders and nerves
- Exercises for neck and shoulder-blade strength and endurance
- Hands-on treatment to ease pain and stiffness
- Workstation advice for desk and laptop setups
- Cervical decompression for suitable pain travelling down the arm
How many sessions will I need?
Many people with neck pain need around 4 to 10 sessions over 3 to 6 weeks. Neck-related arm pain can take longer, often 6 to 12 weeks, and we review progress regularly.
When to see a doctor first
Please see a doctor or go to an emergency department, rather than booking physiotherapy, if you have:
- Neck pain after a fall, accident or blow to the head
- Dizziness, double vision, difficulty speaking or swallowing, or drooping of the face
- Clumsy hands, difficulty with buttons or handwriting, or problems with balance and walking
- Weakness in the arms or hands that is getting worse
- Severe sudden headache, fever with a stiff neck, or unexplained weight loss
Frequently asked questions
Can cervical spondylosis be cured?
The age-related changes do not reverse, but they often cause no pain. Symptoms commonly improve a great deal with exercise and physiotherapy, and many people become pain-free in daily life.
Should I wear a cervical collar for neck pain?
Usually not. Collars can reduce movement and slow recovery for ordinary neck pain. They are used only in specific situations advised by a doctor.
What is the best pillow for neck pain?
One that keeps your neck roughly in line with the rest of your spine in your usual sleeping position. For side sleepers that is usually a medium-height pillow. No single pillow suits everyone.
Can neck pain cause arm pain or tingling?
Yes. When a nerve root in the neck is irritated, pain, tingling or numbness can travel into the shoulder, arm and hand. Physiotherapy and, for suitable cases, cervical decompression may help.
How should I set up my laptop to avoid neck pain?
Raise the screen to eye level with a stand, use a separate keyboard and mouse, sit with your back supported, and get up to move every 30 to 45 minutes.